Intravenous pyelogram
—x-rays taken of the kidneys, ureters, and bladder after a contrast medium is injected into a peripheral vein (done if the fibroids are affecting the ureters)

You should discuss with your doctor:

Whether you should have hormone treatment for 2-4 months before the procedure—This treatment shrinks fibroids. It makes them easier to remove and reduces the risk of excess blood loss during the procedure.

If cancer is found in the uterus—One option is to remove the uterus during the myomectomy.

Whether you should donate your own blood for the procedure.

Leading up to your procedure:

Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.

Arrange for a ride home from the hospital. Also, arrange for help at home.

Do not eat or drink for at least eight hours before the procedure.

Anesthesia

General anesthesia
is used most often. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.

Description of the Procedure

A small cut will be made in the navel. A laparoscope will be inserted into the abdomen through the cut. A laparoscope is a tube with a tiny camera on the end. It will be used to examine the abdomen. Two or three additional small cuts will be made in the abdomen. Other tools will be inserted through these cuts. Each fibroid will be located and removed. In some cases, you may be given a medication to reduce blood loss. After the fibroids are removed, the incision area will be closed with stitches.

Revision Information

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